Direct hyperbilirubinemia as a sole presentation of annular pancreas (Abstract)

Annular pancreas is a congenital malformation of pancreas often associated with congenital duodenal stenosis. Its main presentation is mostly confined to very initial days of life with clinical features of duodenal obstruction. Rarely the presentation is solely obstructive jaundice. A 20-day old female was admitted in our hospital with complaints of pathological jaundice starting from second day of life. Ultrsonographic and radiographic evidence of dilated duodenum led us to the suspicion of partial duodenal obstruction. At operation annular pancreas was encountered and managed with an annulus-bypass duodeno-duodenostomy. Symptoms relieved after the surgical intervention. Annular pancreas may be enlisted in the causes of obstructive jaundice.